{"id":55526,"date":"2023-11-07T10:01:08","date_gmt":"2023-11-07T03:01:08","guid":{"rendered":"https:\/\/hmm88i.com\/drug\/?p=55526"},"modified":"2024-05-06T11:05:43","modified_gmt":"2024-05-06T04:05:43","slug":"thuoc-cai-ruou-co-giup-cai-ruou-vinh-vien-khong","status":"publish","type":"post","link":"https:\/\/hmm88i.com\/drug\/thuoc-cai-ruou-co-giup-cai-ruou-vinh-vien-khong\/","title":{"rendered":"Thu\u1ed1c cai r\u01b0\u1ee3u c\u00f3 gi\u00fap cai r\u01b0\u1ee3u v\u0129nh vi\u1ec5n kh\u00f4ng?"},"content":{"rendered":"
Ng\u00e0y nay, t\u00ecnh tr\u1ea1ng nghi\u1ec7n r\u01b0\u1ee3u ng\u00e0y c\u00e0ng t\u0103ng l\u00ean v\u00e0 t\u1ec9 l\u1ec7 n\u00e0y \u0111ang tr\u1ebb h\u00f3a d\u1ea7n. Nghi\u1ec7n r\u01b0\u1ee3u l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 kh\u00f4ng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng tr\u1ef1c ti\u1ebfp t\u1edbi s\u1ee9c kh\u1ecfe ng\u01b0\u1eddi m\u1eafc m\u00e0 c\u00f2n g\u00e2y g\u00e1nh n\u1eb7ng y t\u1ebf cho \u0111\u1ea5t n\u01b0\u1edbc v\u00e0 t\u1ea1o ra nguy c\u01a1 m\u1ea5t an ninh tr\u1eadt t\u1ef1 trong x\u00e3 h\u1ed9i. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y s\u1ebd \u0111\u1ec1 c\u1eadp t\u1edbi c\u00e1c thu\u1ed1c cai r\u01b0\u1ee3u th\u01b0\u1eddng hay \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng.<\/strong><\/p>\n \u01af\u1edbc t\u00ednh c\u00f3 h\u01a1n 76 tri\u1ec7u ng\u01b0\u1eddi tr\u00ean to\u00e0n th\u1ebf gi\u1edbi m\u1eafc ch\u1ee9ng r\u1ed1i lo\u1ea1n s\u1eed d\u1ee5ng r\u01b0\u1ee3u (AUD) (l\u1ea1m d\u1ee5ng ho\u1eb7c ph\u1ee5 thu\u1ed9c v\u00e0o r\u01b0\u1ee3u), khi\u1ebfn nh\u1eefng r\u1ed1i lo\u1ea1n n\u00e0y tr\u1edf th\u00e0nh m\u1ed9t v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe to\u00e0n c\u1ea7u l\u1edbn. H\u1ed9i \u0111\u1ed3ng Qu\u1ed1c gia v\u1ec1 Nghi\u1ec7n r\u01b0\u1ee3u v\u00e0 Ma t\u00fay (NCADD) v\u00e0 Hi\u1ec7p h\u1ed9i Thu\u1ed1c g\u00e2y nghi\u1ec7n Hoa K\u1ef3 (ASAM) \u0111\u00e3 \u0111\u01b0a ra \u0111\u1ecbnh ngh\u0129a v\u1ec1 nghi\u1ec7n r\u01b0\u1ee3u l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh m\u00e3n t\u00ednh nguy\u00ean ph\u00e1t v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 di truy\u1ec1n, t\u00e2m l\u00fd x\u00e3 h\u1ed9i v\u00e0 m\u00f4i tr\u01b0\u1eddng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n v\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a n\u00f3. B\u1ec7nh th\u01b0\u1eddng ti\u1ebfn tri\u1ec3n n\u1eb7ng v\u00e0 g\u00e2y t\u1eed vong. N\u00f3 \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 suy gi\u1ea3m kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t vi\u1ec7c u\u1ed1ng r\u01b0\u1ee3u, b\u1eadn t\u00e2m \u0111\u1ebfn r\u01b0\u1ee3u ma t\u00fay, s\u1eed d\u1ee5ng r\u01b0\u1ee3u b\u1ea5t ch\u1ea5p h\u1eadu qu\u1ea3 b\u1ea5t l\u1ee3i v\u00e0 nh\u1eefng bi\u1ebfn d\u1ea1ng trong suy ngh\u0129, \u0111\u00e1ng ch\u00fa \u00fd nh\u1ea5t l\u00e0 s\u1ef1 ph\u1ee7 nh\u1eadn. M\u1ed7i tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n li\u00ean t\u1ee5c ho\u1eb7c \u0111\u1ecbnh k\u1ef3.<\/p>\n C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng h\u1ec7 th\u1ed1ng Opioid n\u1ed9i sinh c\u00f3 vai tr\u00f2 l\u1edbn trong s\u1ef1 ph\u00e1t tri\u1ec3n v\u00e0 duy tr\u00ec ch\u1ee9ng nghi\u1ec7n r\u01b0\u1ee3u. Ethanol l\u00e0m t\u0103ng d\u1eabn truy\u1ec1n th\u1ea7n kinh Opioid v\u00e0 s\u1ef1 k\u00edch ho\u1ea1t n\u00e0y l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a c\u01a1 ch\u1ebf ch\u1ecbu tr\u00e1ch nhi\u1ec7m v\u1ec1 t\u00e1c d\u1ee5ng g\u00e2y nghi\u1ec7n c\u1ee7a n\u00f3. Nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh kh\u00e1c nhau c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 c\u0169ng kh\u00e1c nhau v\u1ec1 ho\u1ea1t \u0111\u1ed9ng \u03b2-endorphin c\u01a1 b\u1ea3n, ph\u1ea3n \u1ee9ng \u03b2-endorphin v\u1edbi r\u01b0\u1ee3u, c\u0169ng nh\u01b0 ph\u1ea3n \u1ee9ng n\u1ed9i ti\u1ebft t\u1ed1 ch\u1ee7 quan v\u00e0 tr\u1ee5c HPA \u0111\u1ed1i v\u1edbi thu\u1ed1c \u0111\u1ed1i kh\u00e1ng Opioid.<\/p>\n Thu\u1ed1c cai nghi\u1ec7n r\u01b0\u1ee3u<\/strong> l\u00e0 nh\u1eefng thu\u1ed1c l\u00e0m gi\u1ea3m c\u1ea3m gi\u00e1c th\u00e8m r\u01b0\u1ee3u c\u1ee7a ng\u01b0\u1eddi s\u1eed d\u1ee5ng, ho\u1eb7c g\u00e2y ra c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu khi ng\u01b0\u1eddi d\u00f9ng s\u1eed d\u1ee5ng r\u01b0\u1ee3u bia \u0111\u1ec3 t\u1eeb \u0111\u00f3 k\u00edch th\u00edch c\u1ea3m gi\u00e1c s\u1ee3 h\u00e3i r\u01b0\u1ee3u bia v\u00e0 ng\u01b0\u1eddi d\u00f9ng s\u1ebd kh\u00f4ng mu\u1ed1n d\u00f9ng r\u01b0\u1ee3u bia n\u1eefa. Thu\u1ed1c cai r\u01b0\u1ee3u bia c\u00f3 nhi\u1ec1u lo\u1ea1i v\u1edbi nhi\u1ec1u c\u01a1 ch\u1ebf kh\u00e1c nhau:<\/p>\n Naltrexone l\u00e0 thu\u1ed1c \u0111\u1ed1i kh\u00e1ng \u0111\u1eb7c hi\u1ec7u tr\u00ean th\u1ee5 th\u1ec3 Opiat, l\u00e0m gi\u1ea3m h\u1ee9ng th\u00fa v\u1edbi r\u01b0\u1ee3u \u1edf nh\u1eefng ng\u01b0\u1eddi nghi\u1ec7n r\u01b0\u1ee3u. Thu\u1ed1c c\u0169ng c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng k\u00edch th\u00edch v\u00e0 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng an th\u1ea7n c\u1ee7a r\u01b0\u1ee3u m\u00e0 kh\u00f4ng l\u00e0m thay \u0111\u1ed5i hi\u1ec7u n\u0103ng t\u00e2m th\u1ea7n v\u1eadn \u0111\u1ed9ng tr\u00ean nh\u1eefng c\u00e1 th\u1ec3 d\u00f9ng r\u01b0\u1ee3u v\u1edbi li\u1ec1u g\u00e2y nhi\u1ec5m \u0111\u1ed9c. Naltrexone \u00edt g\u00e2y nghi\u1ec7n v\u00e0 \u00edt c\u00f3 t\u00e1c d\u1ee5ng d\u01b0\u1ee3c l\u00fd \u1edf ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng.<\/p>\n Ch\u1ec9 \u0111\u1ecbnh: \u0110i\u1ec1u tr\u1ecb nghi\u1ec7n r\u01b0\u1ee3u c\u00f9ng v\u1edbi li\u1ec7u ph\u00e1p t\u00e2m l\u00fd c\u0169ng v\u1edbi m\u1ee5c \u0111\u00edch ch\u1ed1ng t\u00e1i nghi\u1ec7n, d\u00f9ng c\u1ee7ng c\u1ed1 sau khi \u0111\u00e3 cai nghi\u1ec7n th\u00e0nh c\u00f4ng.<\/p>\n Li\u1ec1u d\u00f9ng: U\u1ed1ng naltrexone hydroclorid 50mg\/ng\u00e0y, trong 3 th\u00e1ng. N\u1ebfu c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 v\u1ec1 ti\u00eau h\u00f3a, li\u1ec1u kh\u1edfi \u0111\u1ea7u c\u00f3 th\u1ec3 l\u00e0 25 mg\/ng\u00e0y r\u1ed3i \u0111i\u1ec1u ch\u1ec9nh d\u1ea7n. Thu\u1ed1c c\u0169ng c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng \u0111\u01b0\u1eddng ti\u00eam t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i n\u1ebfu ng\u01b0\u1eddi d\u00f9ng kh\u00f4ng c\u00f3 Opiat trong c\u01a1 th\u1ec3.<\/p>\n Ch\u1ebf ph\u1ea9m: Nodict 50mg c\u00f3 xu\u1ea5t x\u1ee9 \u1ea4n \u0110\u1ed9 c\u00f3 gi\u00e1 b\u00e1n kho\u1ea3ng 900.000 \u0111\u1ed3ng \/ h\u1ed9p 30 vi\u00ean, m\u1ed7i vi\u00ean thu\u1ed1c ch\u1ee9a 50mg ho\u1ea1t ch\u1ea5t Naltrexone.<\/p>\n Nalmefene l\u00e0 m\u1ed9t ch\u1ea5t \u0111\u1ed1i kh\u00e1ng th\u1ee5 th\u1ec3 thu\u1ed1c phi\u1ec7n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb qu\u00e1 li\u1ec1u opioid c\u1ea5p t\u00ednh v\u00e0 gi\u00fap ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng nghi\u1ec7n r\u01b0\u1ee3u v\u00e0 c\u00e1c h\u00e0nh vi g\u00e2y nghi\u1ec7n. Nalmefene kh\u00f4ng li\u00ean quan \u0111\u1ebfn vi\u1ec7c t\u0103ng enzym huy\u1ebft thanh trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng gan r\u00f5 r\u00e0ng tr\u00ean l\u00e2m s\u00e0ng.<\/p>\n Ch\u1ec9 \u0111\u1ecbnh: Thu\u1ed1c \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng cho ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh nghi\u1ec7n r\u01b0\u1ee3u, ti\u00eau th\u1ee5 r\u01b0\u1ee3u \u1edf m\u1ee9c \u0111\u1ed9 cao.<\/p>\n Li\u1ec1u d\u00f9ng: li\u1ec1u d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng s\u1eed d\u1ee5ng cho ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh nghi\u1ec7n r\u01b0\u1ee3u l\u00e0 18mg\/ng\u00e0y. U\u1ed1ng tr\u01b0\u1edbc khi u\u1ed1ng r\u01b0\u1ee3u t\u1eeb 1 -2 ti\u1ebfng.<\/p>\n Ch\u1ebf ph\u1ea9m: Selincro 18mg l\u00e0 thu\u1ed1c d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng c\u00f3 ch\u1ee9a 18mg Nalmefene \u0111\u01b0\u1ee3c c\u1ea5p ph\u00e9p l\u01b0u h\u00e0nh t\u1ea1i ch\u00e2u \u00c2u tuy nhi\u00ean ch\u01b0a \u0111\u01b0\u1ee3c c\u1ea5p ph\u00e9p l\u01b0u h\u00e0nh t\u1ea1i M\u1ef9 v\u00e0 c\u0169ng ch\u01b0a c\u00f3 t\u1ea1i th\u1ecb tr\u01b0\u1eddng Vi\u1ec7t Nam.<\/p>\n Disulfiram s\u1ebd g\u00e2y ph\u1ea3n \u1ee9ng kh\u00f3 ch\u1ecbu khi d\u00f9ng Ethanol, Disulfiram ng\u0103n ch\u1eb7n qu\u00e1 tr\u00ecnh chuy\u1ec3n \u0111\u1ed5i t\u1eeb acetaldehyde th\u00e0nh axit acetic, d\u1eabn \u0111\u1ebfn s\u1ef1 t\u0103ng l\u00ean c\u1ee7a acetaldehyde trong m\u00e1u, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u1ecf b\u1eebng m\u1eb7t, bu\u1ed3n n\u00f4n, ch\u00f3ng m\u1eb7t, h\u1ea1 huy\u1ebft \u00e1p, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c,… C\u01a1 th\u1ec3 khi g\u1eb7p nh\u1eefng s\u1ef1 kh\u00f3 ch\u1ecbu do u\u1ed1ng r\u01b0\u1ee3u g\u00e2y ra s\u1ebd t\u1ea1o th\u00e0nh c\u1ea3m gi\u00e1c kh\u00f4ng mu\u1ed1n u\u1ed1ng r\u01b0\u1ee3u n\u1eefa.<\/p>\n Tuy nhi\u00ean, Disulfiram ch\u1ec9 l\u00e0 m\u1ed9t li\u1ec7u ph\u00e1p b\u1ed5 tr\u1ee3 v\u00e0 c\u1ea7n ph\u1ea3i ti\u1ebfp t\u1ee5c h\u1ed7 tr\u1ee3, gi\u00e1m s\u00e1t v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c. Disulfiram c\u00f3 th\u1ec3 c\u00f3 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c gi\u1ea3m t\u1ea7n su\u1ea5t u\u1ed1ng r\u01b0\u1ee3u \u1edf b\u1ec7nh nh\u00e2n tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb trong th\u1eddi gian ng\u1eafn (v\u00ed d\u1ee5: 6 th\u00e1ng). Disulfiram c\u00f3 hi\u1ec7u qu\u1ea3 khi b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng \u0111\u1ec1u \u0111\u1eb7n, cam k\u1ebft duy tr\u00ec ch\u1ebf \u0111\u1ed9 ki\u00eang r\u01b0\u1ee3u, \u0111\u1ed3ng \u00fd d\u00f9ng thu\u1ed1c v\u00e0 kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u1edbi Disulfiram.<\/p>\n Ch\u1ec9 \u0111\u1ecbnh: Disulfiram \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong \u0111i\u1ec1u tr\u1ecb nghi\u1ec7n r\u01b0\u1ee3u m\u00e3n t\u00ednh, s\u1eed d\u1ee5ng nh\u01b0 l\u00e0 ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 v\u00e0 c\u00f3 k\u00e8m c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c. \u0110i\u1ec1u ki\u1ec7n \u0111\u1ec3 s\u1eed d\u1ee5ng Disulfiram l\u00e0 \u0111\u00e3 ng\u1eebng u\u1ed1ng r\u01b0\u1ee3u sau 12 gi\u1edd v\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 \u0111\u1ed9ng l\u1ef1c cai r\u01b0\u1ee3u.<\/p>\n Li\u1ec1u d\u00f9ng: thu\u1ed1c th\u01b0\u1eddng d\u00f9ng \u1edf li\u1ec1u t\u1eeb 250 mg\/ng\u00e0y \u0111\u1ebfn 500 mg\/ng\u00e0y.<\/p>\n Ch\u1ebf ph\u1ea9m: Thu\u1ed1c cai r\u01b0\u1ee3u Esperal<\/strong> 500mg ch\u1ee9a 500mg Disulfiram \u1edf d\u1ea1ng vi\u00ean u\u1ed1ng. Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty Sanofi v\u00e0 c\u00f3 gi\u00e1 kho\u1ea3ng 400.000 \u0111\u1ed3ng \/ l\u1ecd 20 vi\u00ean.<\/p>\n Acamprosate \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 t\u00e1c d\u1ee5ng nh\u01b0 m\u1ed9t ch\u1ea5t \u0111\u1ed1i kh\u00e1ng th\u1ee5 th\u1ec3 NMDA v\u00e0 b\u1ed9 \u0111i\u1ec1u bi\u1ebfn allosteric t\u00edch c\u1ef1c c\u1ee7a th\u1ee5 th\u1ec3 GABA. Acamprosate l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng glutamate t\u0103ng v\u1ecdt khi ng\u01b0\u1eddi d\u00f9ng cai r\u01b0\u1ee3u, gi\u00fap gi\u1ea3m c\u1ea3m gi\u00e1c th\u00e8m r\u01b0\u1ee3u. Thu\u1ed1c c\u0169ng b\u1ea3o v\u1ec7 c\u00e1c t\u1ebf b\u00e0o nu\u00f4i c\u1ea5y kh\u1ecfi b\u1ecb k\u00edch th\u00edch do nhi\u1ec5m \u0111\u1ed9c do ng\u1eebng s\u1eed d\u1ee5ng ethanol v\u00e0 kh\u1ecfi vi\u1ec7c ti\u1ebfp x\u00fac v\u1edbi glutamate k\u1ebft h\u1ee3p v\u1edbi vi\u1ec7c ng\u1eebng s\u1eed d\u1ee5ng ethanol. Ch\u1ea5t n\u00e0y c\u0169ng gi\u00fap thi\u1ebft l\u1eadp l\u1ea1i c\u1ea5u tr\u00fac gi\u1ea5c ng\u1ee7 ti\u00eau chu\u1ea9n b\u1eb1ng c\u00e1ch b\u00ecnh th\u01b0\u1eddng h\u00f3a giai \u0111o\u1ea1n 3 v\u00e0 c\u00e1c giai \u0111o\u1ea1n c\u1ee7a gi\u1ea5c ng\u1ee7 REM<\/p>\n Ch\u1ec9 \u0111\u1ecbnh: Thu\u1ed1c \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng r\u1ed1i lo\u1ea1n s\u1eed d\u1ee5ng r\u01b0\u1ee3u.<\/p>\n Li\u1ec1u d\u00f9ng: Acamprosate \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn d\u01b0\u1edbi d\u1ea1ng vi\u00ean n\u00e9n gi\u1ea3i ph\u00f3ng ch\u1eadm h\u00e0m l\u01b0\u1ee3ng 333 mg d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng. M\u1ed7i ng\u00e0y c\u00f3 th\u1ec3 d\u00f9ng 3 l\u1ea7n.<\/p>\n Ch\u1ebf ph\u1ea9m: Bi\u1ec7t d\u01b0\u1ee3c c\u1ee7a Acamprosate l\u00e0 Campral do T\u1eadp \u0111o\u00e0n Merck – \u0110\u1ee9c s\u1ea3n xu\u1ea5t. M\u1ed7i vi\u00ean Campral ch\u1ee9a 333mg Acamprosate.<\/p>\n Topiramate l\u00e0 thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh th\u1ebf h\u1ec7 m\u1edbi. Thu\u1ed1c g\u00e2y \u1ee9c ch\u1ebf GABA v\u00e0 \u1ee9c ch\u1ebf d\u1eabn truy\u1ec1n glutamate, gi\u1ea3m ph\u00f3ng th\u00edch dopamine \u1edf nh\u00e2n nucleus accumbens khi s\u1eed d\u1ee5ng r\u01b0\u1ee3u n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0m thu\u1ed1c cai nghi\u1ec7n r\u01b0\u1ee3u, \u0111\u1eb7c bi\u1ec7t l\u00e0 ch\u1ee9ng r\u1ed1i lo\u1ea1n s\u1eed d\u1ee5ng r\u01b0\u1ee3u (AUD). Hi\u1ec7n t\u1ea1i, ch\u01b0a \u0111\u1ea7y \u0111\u1ee7 d\u1eef li\u1ec7u v\u1ec1 ch\u1ec9 \u0111\u1ecbnh n\u00e0y n\u00ean thu\u1ed1c ch\u1ee9a Topiramate th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng theo kinh nghi\u1ec7m c\u1ee7a b\u00e1c s\u0129.<\/p>\n Ch\u1ec9 \u0111\u1ecbnh: Ch\u01b0a c\u00f3 ch\u1ec9 \u0111\u1ecbnh ch\u00ednh th\u1ee9c d\u00e0nh cho cai nghi\u1ec7n r\u01b0\u1ee3u, c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng k\u00ea \u0111\u01a1n theo kinh nghi\u1ec7m \u0111i\u1ec1u tr\u1ecb.<\/p>\n Ch\u1ebf ph\u1ea9m: Thu\u1ed1c Topamax 50mg c\u1ee7a C\u00f4ng ty D\u01b0\u1ee3c ph\u1ea9m Janssen – Th\u1ee5y S\u0129 c\u00f3 ch\u1ee9a 50mg Topiramate. Thu\u1ed1c c\u00f3 gi\u00e1 650.000 \u0111\u1ed3ng\/ h\u1ed9p 60 vi\u00ean.<\/p>\n Ondansetron l\u00e0 ch\u1ea5t \u0111\u1ed1i kh\u00e1ng ch\u1ecdn l\u1ecdc th\u1ee5 th\u1ec3 5-HT, (th\u1ee5 th\u1ec3 serotonin nh\u00f3m 3), c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng n\u00f4n. Thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng c\u1ea3 \u1edf ngo\u1ea1i vi, tr\u00ean \u0111\u1ea7u t\u1eadn th\u1ea7n kinh ph\u1ebf v\u1ecb v\u00e0 \u1edf trung t\u00e2m, trong v\u00f9ng k\u00edch th\u00edch th\u1ee5 th\u1ec3 h\u00f3a h\u1ecdc. Thu\u1ed1c \u0111ang \u0111\u01b0\u1ee3c th\u1eed nghi\u1ec7m v\u1edbi nh\u1eefng k\u1ebft qu\u1ea3 t\u01b0\u01a1ng \u0111\u1ed1i kh\u1ea3 quan trong \u0111i\u1ec1u tr\u1ecb cai nghi\u1ec7n r\u01b0\u1ee3u v\u1edbi kh\u1ea3 n\u0103ng gi\u00fap gi\u1ea3m l\u01b0\u1ee3ng r\u01b0\u1ee3u \u0111\u01b0\u1ee3c u\u1ed1ng do l\u00e0m gi\u1ea3m ham mu\u1ed1n u\u1ed1ng r\u01b0\u1ee3u v\u00e0 gi\u1ea3m s\u1ef1 ph\u1ea5n kh\u00edch do r\u01b0\u1ee3u. Tri\u1ec3n v\u1ecdng c\u1ee7a thu\u1ed1c s\u1ebd c\u00f3 th\u00eam m\u1ed9t ch\u1ec9 \u0111\u1ecbnh m\u1edbi trong vi\u1ec7c cai nghi\u1ec7n r\u01b0\u1ee3u v\u00e0o m\u1ed9t t\u01b0\u01a1ng lai kh\u00f4ng xa.<\/p>\n Cai r\u01b0\u1ee3u b\u1eb1ng thu\u1ed1c nam<\/strong> l\u00e0 l\u1ef1a ch\u1ecdn c\u1ee7a nhi\u1ec1u ng\u01b0\u1eddi hi\u1ec7n nay. M\u1ed9t s\u1ed1 c\u00e2y thu\u1ed1c v\u00e0 c\u00e1c h\u1ee3p ch\u1ea5t t\u1ef1 nhi\u00ean nguy\u00ean ch\u1ea5t \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 c\u00f3 t\u00e1c d\u1ee5ng ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng nghi\u1ec7n r\u01b0\u1ee3u v\u00e0 nghi\u1ec7n r\u01b0\u1ee3u, nh\u01b0 l\u00e0 S\u1eafn d\u00e2y (Pueraria lobata), Nh\u00e2n s\u00e2m (Panax Gins CA Mey.), C\u00e2y nho kh\u00f4 Nh\u1eadt B\u1ea3n (Hovenia dulcis Thunb.) , Ibogaine (Tabernanthe iboga H. Bn.), Hoa anh th\u1ea3o bu\u1ed5i t\u1ed1i (Oenothera biennis L.), Qu\u1ea3 l\u00ea gai (Opuntia ficus indica (L.) Mill.), Hoa l\u1ea1c ti\u00ean t\u00edm (Passiflora incarnata L.), H\u00fang t\u00e2y (Thymus Vulgaris L. ), H\u1ea1t c\u1ecf c\u00e0 ri (Trigonella foenum-graecum L.), G\u1eebng (Zingiber officinale Roscoe)<\/p>\nH\u1ed9i ch\u1ee9ng nghi\u1ec7n r\u01b0\u1ee3u l\u00e0 g\u00ec?<\/h2>\n
\u0110\u1ecbnh ngh\u0129a<\/h3>\n
C\u01a1 ch\u1ebf n\u1ed9i sinh<\/h3>\n
Thu\u1ed1c cai r\u01b0\u1ee3u l\u00e0 g\u00ec?<\/h2>\n
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<\/a>C\u00e1c lo\u1ea1i thu\u1ed1c cai nghi\u1ec7n r\u01b0\u1ee3u hi\u1ec7u qu\u1ea3 t\u1ed1t<\/h2>\n
Thu\u1ed1c cai r\u01b0\u1ee3u ngu\u1ed3n g\u1ed1c t\u1ed5ng h\u1ee3p<\/h3>\n
Thu\u1ed1c kh\u00e1ng Opioid<\/h4>\n
Naltrexone<\/h5>\n
<\/a><\/p>\n
<\/a>Nalmefene<\/h5>\n
<\/a>Thu\u1ed1c ch\u1eb7n Enzyme chuy\u1ec3n h\u00f3a r\u01b0\u1ee3u: Disulfiram<\/h4>\n
<\/a><\/p>\n
<\/a>Thu\u1ed1c \u1ee9c ch\u1ebf d\u1eabn truy\u1ec1n Glutamate<\/h4>\n
Acamprosate<\/h5>\n
<\/a>Topiramate<\/h5>\n
<\/a>Thu\u1ed1c \u1ee9c ch\u1ebf th\u1ee5 th\u1ec3 Serotonin<\/h4>\n
Thu\u1ed1c cai r\u01b0\u1ee3u ngu\u1ed3n g\u1ed1c th\u1ea3o d\u01b0\u1ee3c<\/h3>\n
Vi\u00ean cai r\u01b0\u1ee3u Kudzu Root<\/h4>\n